We evaluated the effectiveness and logistical practicality of use of a
program consisting of computer-assisted instruction with interactive
videodisc to teach residents in orthopaedic surgery the radiology of
musculoskeletal injuries. Eleven residents (four in the fourth year of
postgraduate training, five in the third year, one in the second year, and
one whose level of training was not recorded) used the computer-videodisc
program in a single session with no supervision. The residents took a
pre-test and a post-test and also filled out a questionnaire on the
efficacy and usefulness of this program compared with other educational
materials. The eleven residents improved their scores from 56 +/- 8.6 per
cent correct answers (mean and standard deviation) (range, 44 to 69 per
cent correct answers) on the pre-test to 86 +/- 9.2 per cent correct
answers (range, 69 to 100 per cent correct answers) on the post-test. All
of the residents improved their scores, and the improvements were
significant (p < 0.001; effect size, 3.57). The residents thought that
the program increased their interest in the subject, and they preferred the
computer-videodisc program to the use of actual radiographs, textbooks,
videotapes, and slides and audiotapes for individual study. The residents
reported no difficulty in using the program or the electronic
equipment.